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The therapy cap exception process – due to expire at the end of this year – may be extended permanently, though physicians may be paying for it with reductions to their Medicare fees.
The new National Correct Coding Initiative (CCI) manual contains an early holiday treat for anyone who wants to know more about bilateral services, medically unlikely edits (MUEs), and how the two interact.
Providers in Harrisburg, Pa., Cincinnati, Ohio, Gainesville, Fla. And Lubbock, Tex., may not be applauding a new CMS final rule that scales back Medicare’s Comprehensive Care for Joint Replacement (CJR) program next year. That’s because in those localities — as well as 30 other high-cost areas — the CJR program continues to be mandatory next year.
Many of your Medicare patients will be facing higher monthly Part B premiums next year, even though the standard premium will hold steady at $134.
The slight increase in the conversion factor means little or no change in reimbursement for most of your E/M codes and other high volume services – with two exceptions.

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